Organization
BARNETT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
14214 BALLANTYNE LAKE RD, CHARLOTTE, NC 28277-3372
(803) 283-2011
(803) 286-9962
Mailing address
PO BOX 601588, CHARLOTTE, NC 28260-1588
(803) 283-2011
(803) 286-9962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPB361
—
SC
Enumeration date
12/21/2009
Last updated
03/22/2010
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